de Keating-Hart E, Pidhorz L, Moui Y
Service d'orthopédie et traumatologie, centre hospitalier du Mans, Le Mans, France.
Chir Main. 2012 Sep;31(4):195-8. doi: 10.1016/j.main.2012.07.009. Epub 2012 Aug 10.
The authors report the case of a dorsal, closed, radiocarpal dislocation with a small posterior marginal fracture of the radius, in an 85-year-old woman, without violent trauma (fall from her height). The dislocation was reduced by traction and the wrist immobilized in a plaster cast for 6 weeks. Six months after the accident, the patient had resumed her activities without pain with a diminished range of motion. This dislocation is exceptional at this age. In our case, the functional outcome was good after orthopaedic treatment.
作者报告了一例85岁女性的背侧闭合性桡腕关节脱位,伴有桡骨后缘小骨折,无暴力外伤(非高处坠落)。通过牵引使脱位复位,手腕用石膏固定6周。事故发生6个月后,患者恢复活动,无痛感,但活动范围减小。这种脱位在这个年龄段很罕见。在我们的病例中,经过骨科治疗后功能结果良好。